CN108514441A - A kind of blood vessel punching component and card punch - Google Patents
A kind of blood vessel punching component and card punch Download PDFInfo
- Publication number
- CN108514441A CN108514441A CN201810403290.2A CN201810403290A CN108514441A CN 108514441 A CN108514441 A CN 108514441A CN 201810403290 A CN201810403290 A CN 201810403290A CN 108514441 A CN108514441 A CN 108514441A
- Authority
- CN
- China
- Prior art keywords
- pull rod
- cutter shaft
- driving
- handle
- interior cutter
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000004080 punching Methods 0.000 title claims abstract description 37
- 210000004204 blood vessel Anatomy 0.000 title claims abstract description 30
- 230000000903 blocking effect Effects 0.000 claims description 8
- 230000009471 action Effects 0.000 claims description 6
- 238000010586 diagram Methods 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 238000004140 cleaning Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000000747 cardiac effect Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- BVPWJMCABCPUQY-UHFFFAOYSA-N 4-amino-5-chloro-2-methoxy-N-[1-(phenylmethyl)-4-piperidinyl]benzamide Chemical compound COC1=CC(N)=C(Cl)C=C1C(=O)NC1CCN(CC=2C=CC=CC=2)CC1 BVPWJMCABCPUQY-UHFFFAOYSA-N 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 230000003670 easy-to-clean Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000004880 explosion Methods 0.000 description 1
- 230000011132 hemopoiesis Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
Abstract
A kind of blood vessel punching component and card punch, the outer edge of a knife that medium vessels punching component includes at least interior cutter shaft and is set in outside interior cutter shaft, interior cutter shaft are flexible along the axis of the outer edge of a knife under the driving of a driving pull rod；Interior cutter shaft connection swing arm is connected between the interior cutter shaft and driving pull rod, which is rotatablely connected with driving pull rod and the outer edge of a knife respectively；The outer cover of the driving pull rod is equipped with outer tube, and the outer edge of a knife is fixedly connected with the end of outer tube, and the outer edge of a knife constitutes elbow structure with outer tube；Wherein card punch includes the blood vessel punching component of above structure, which is sequentially connected with handle drives component.Using flexible of the present invention is reliable, can light disassembling, assembling and replacing parts, safeguard simple；It can flexibly replace cutter head and punching component according to actual needs, the punching cutter head of different type (shape, size) can be filled on a kind of handle to meet the use of medical staff, applied widely, it is thoroughly convenient to clean.
Description
Technical field
The present invention relates to blood vessels to punch instrument, especially a kind of blood vessel punching component and card punch.
Background technology
In cardiac operation, such as in coronary artery bypass surgery, it usually needs beaten on aorta ascendens vascular wall
One circular open, for the bridge blood vessel that coincide.Conventional method is that cardiac surgeon is cut on vascular wall using scalpel and there emerged a circle
Hole, but the circular hole irregular gone out by hand cut, and it is easy the residual of hematopoiesis tube wall tissue clast in the course of surgery,
And residual tissue will be bound to cause thrombus, threaten the postoperative survival of patient.With the development of cardiac surgery operation technology, this operation
Lancination cuts the method for punching because excessively original and abandoned there are operation risk, is gradually substituted by blood vessel card punch.
In clinical practice, card punch is not applied only to the punch operation of shallow superficial blood vessel, it is also necessary in internal layers such as hearts
In organ carry out deep hole Minimally Invasive Surgery, and the angle punched sometimes also can not face operator, need carry out elbow punching behaviour
Make, this is complicated with regard to Structure of need and has the card punch of spiral arm Telescopic；However, excessively then not only cleaning is difficult for complicated card punch
Degree is big, and malfunction also will have a direct impact on the quality of operation.
Invention content
The object of the present invention is to provide a kind of blood vessel punching component and card punch, it has structure reliable, easy to operate
The advantage easy to clean with dismounting.
The present invention is achieved like this, a kind of blood vessel punching component, which is characterized in that it include at least interior cutter shaft and
The outer edge of a knife being set in outside interior cutter shaft, interior cutter shaft are flexible along the axis of the outer edge of a knife under the driving of a driving pull rod；In described
The connection swing arm of interior cutter shaft is connected between cutter shaft and driving pull rod, interior cutter shaft connection swing arm respectively with driving pull rod and outer knife
Mouth rotation connection.
The outer cover of the driving pull rod is equipped with outer tube, and the outer edge of a knife is fixedly connected with the end of outer tube, and the outer edge of a knife with outside
Pipe constitutes elbow structure.
Preferably：The end of the interior cutter shaft is chondritic, and it is in spherical that the interior cutter shaft connection swing arm, which has with this,
The card slot that structure is engaged by clamping, the u-shaped structure in section of the card slot.
The present invention also describes a kind of card punch, which is characterized in that it includes the blood vessel punching component of above structure, the blood
Pipe punching component is sequentially connected with handle drives component.
The handle drives component includes fixed handle and the flexible handle that is rotatably connected with fixed handle；It drives
One end of dynamic pull rod extends in fixed handle, and the telescopic moving in fixed handle；Driving pull rod is located in fixed handle
Pull rod driving piece is connected between part and flexible handle.
Being additionally provided between the fixed handle and flexible handle makes fixed handle and flexible handle be in maximum opening angle
The first shrapnel and the second shrapnel.
The guide groove with driving pull rod telescopic moving cooperation is equipped in the fixed handle, driving pull rod drives piece with pull rod
It is removably joined together by clamping structure, pull rod drives piece to be rotatablely connected with flexible handle, and pull rod drives piece and activity
Being additionally provided between handle makes driving pull rod and pull rod that piece be driven to keep the torque spring being engaged by clamping.
Preferably：The clamping structure includes being located at the pull rod position blocking pin of pull rod driving on piece and positioned at driving pull rod
On opening card slot, the pull rod position blocking pin under the action of torque spring elastic force with opening card slot be engaged by clamping.
Preferably：The outer tube is connected to by locking nut on fixed handle.
Beneficial effects of the present invention are：The present invention compared with traditional instruments (straight peen card punch), both had it is easy to operate, no
It is cumbersome, the reliable advantage of using flexible, and can light disassembling, assembling and replacing parts, it is easy to maintain；It can be according to actual needs
Cutter head and punching component are flexibly replaced, the punching cutter head of different type (shape, size) can be filled on a kind of handle to meet
The use of medical staff, feature-rich, applied widely, flexibly simple detachable structure also can make instrument cleaning more
Thoroughly.
Description of the drawings
Fig. 1 is the Structure explosion diagram of card punch one embodiment of the present invention.
Fig. 2 is the Standard figure of embodiment illustrated in fig. 1.
Fig. 3 is the part-structure sectional view of embodiment illustrated in fig. 1.
Fig. 4 is the dismounting schematic diagram of blood vessel punching component of the present invention and handle drives component.
Fig. 5 is cutter shaft 1 in blood of the present invention, the connection swing arm 3 of interior cutter shaft and driving 4 attachment structure schematic diagram of pull rod.
Fig. 6 is that cutter shaft 1 connect 3 disassembly process schematic diagram of swing arm with interior cutter shaft in blood of the present invention.
In the figure 1, interior cutter shaft 2, the outer edge of a knife 3, interior cutter shaft connection swing arm 4, driving pull rod 5, outer tube 6, fixed hand
Handle 7, flexible handle 8, the first shrapnel 9, the second shrapnel 10, torque spring 11, pull rod driving piece 12, pull rod position blocking pin
13, locking nut.
Specific implementation mode
The specific implementation mode of the present invention is described further below in conjunction with the accompanying drawings.
As shown in Figure 5 and Figure 6, the invention is realized in this way, the blood vessel punching component include at least interior cutter shaft 1 and
The outer edge of a knife 2 being set in outside interior cutter shaft 1, interior cutter shaft 1 are flexible along the axis of the outer edge of a knife 2 under the driving of a driving pull rod 4；Institute
State and be connected with the connection swing arm 3 of interior cutter shaft between interior cutter shaft 1 and driving pull rod 4, interior cutter shaft connection swing arm 3 respectively with driving pull rod
4 and the outer edge of a knife 2 be rotatablely connected；When mounted, the axis of the outer edge of a knife 2 is coaxially disposed with interior cutter shaft 1, in driving pull rod 4
Drive under, the connection swing arm 3 of interior cutter shaft is rotated along the shaft of itself and the outer edge of a knife 2, as shown in the F3 of Fig. 5, is connected in interior cutter shaft
Under the drive of swing arm 3, interior cutter shaft 1 is flexible along the axis of the outer edge of a knife 2, shown in the F4 in attached drawing 5, to using interior cutter shaft 1 with
Blood vessel punching action is beaten in the cooperation completion of the outer edge of a knife 2.
For the flexibility for improving protective and using, it is described driving pull rod 4 outer cover be equipped with outer tube 5, the outer edge of a knife 2 with
The end of outer tube 5 is fixedly connected, and the outer edge of a knife 2 constitutes elbow structure with outer tube 5, which allows interior cutter shaft 1 and driving
Pull rod 4 and the outer edge of a knife 2 and driving pull rod 4 drive in non-directional punching, keep punch operation applicability wider.
Certainly, it being safeguarded for the ease of dismounting, also design is optimized to the detailed structure of blood vessel punching component in the present invention,
In the specific implementation, the end of the interior cutter shaft 1 is chondritic 101, and it is in spherical that the interior cutter shaft connection swing arm 3, which has with this,
The card slot 301 that structure 101 is engaged by clamping, the u-shaped structure in section of the card slot 102, as shown in Figure 6；In dismounting, interior cutter shaft
Coordinated by the card slot 102 of chondritic 101 and specific shape between 1 and the connection swing arm 3 of interior cutter shaft, swing arm is connected in interior cutter shaft
3 when swinging to certain angle, and interior cutter shaft 1 can retract from the outer edge of a knife 2, can replace with new interior cutter shaft 1.
As Figure 1-Figure 4, it the invention also discloses a kind of card punch, is structurally characterized in that, it includes above structure
Blood vessel punching component, the blood vessel punching component are sequentially connected with handle drives component；In the specific implementation, the handle drives group
Part includes fixed handle 6 and the flexible handle being rotatably connected with fixed handle 67；One end of driving pull rod 4 extends to
In fixed handle 6, and the telescopic moving in fixed handle 6；Driving pull rod 4 is located at part and flexible handle 7 in fixed handle 6
Between be connected with pull rod driving piece 11；Its operating process is such, and user presses flexible handle 7, movable hand by palm
Handle 7 will drive pull rod to drive piece 11, and the driving telescopic moving in fixed handle 6 of pull rod 4 is driven through pull rod driving piece 11, to
Entire blood vessel punching component is driven to complete punching action；Pass through the assembling of blood vessel punching component and handle drives component so that behaviour
Author can flexibly replace blood vessel punching component, and maintenance easy to disassemble, the blood vessel punching component by replacing different length specification can
Meet the needs of deep hole Minimally Invasive Surgery.
Certainly, the structure of above-mentioned handle drives component is not limited thereto, it can also use electric structure, will be driven at this time
Lead screw is made in the end of dynamic pull rod 4, and lead screw is equipped with driving thread bush, motor, the output shaft of motor are equipped in handle
Equipped with the gear for engaging driving with driving thread bush, the driving pull rod 4 with lead screw can be driven to be stretched by motor in this way
Contracting movement, adjusts the steering of motor and flexible control can be realized in rotating speed
Simultaneously, in order to improve operating handle, the present invention is also optimized the detailed structure of handle drive component
Design, in the specific implementation, being additionally provided between the fixed handle 6 and flexible handle 7 makes at fixed handle 6 and flexible handle 7
In the first shrapnel 8 and the second shrapnel 9 of maximum opening angle, the fixed handle 6 under the action of the first shrapnel 8 and the second shrapnel 9
Maximum is opened up into flexible handle 7, interior cutter shaft 1 and the outer edge of a knife 2 are also at non-perforated state at this time.
In order to ensure to punch the smooth transmission of control moment, it is equipped in the fixed handle 6 and driving 4 telescopic moving of pull rod
The guide groove 601 of cooperation, driving pull rod 4 are removably joined together with pull rod driving piece 11 by clamping structure, and pull rod drives
Movable plate 11 is rotatablely connected with flexible handle 7, and being additionally provided between pull rod driving piece 11 and flexible handle 7 makes driving pull rod 4 and pull rod
Piece 11 is driven to keep the torque spring 10 being engaged by clamping；In the specific implementation, the clamping structure includes being located at pull rod to drive piece
Pull rod position blocking pin 12 on 11 and the opening card slot 401 on driving pull rod 4, the pull rod position blocking pin 12 is in torque spring 10
It is engaged by clamping with opening card slot 401 under the action of elastic force；The outer tube 5 is connected to by locking nut 13 on fixed handle 6；When
The right structure setting is also allowed for being dismounted and be safeguarded；In operation, when needing replacing blood vessel punching component, such as the F4 in Fig. 4
It is shown, it is only necessary to press pull rod driving piece 11 with the power in the directions F4 to overcome the torsion of torque spring 10, at this moment pull rod drives piece
Pull rod position blocking pin 12 on 11 will be detached from the opening card slot 401 on driving pull rod 4；Locking nut 13 reversely is turned, works as locking
When nut 13 and the thread of fixed handle 6 are threaded off, locking nut 13 drives entire blood vessel punching component to be detached from handle together, from
And realize the purpose for replacing blood vessel punching component and cutter head.
The present invention had both had easy to operate compared with traditional instruments (straight peen card punch), and not cumbersome, using flexible is reliable
Advantage, but can light disassembling, assembling and replacing parts, it is easy to maintain；In the case that the cutter shaft edge of a knife damages in product, do not have to replace
Instrumentarium only needs to change new interior cutter shaft；Product can fill different type (shape, size) on a kind of handle
Punching cutter head meet the use of medical staff, reached multi-edged function, flexibly simple detachable structure
It can be so that instrument cleaning be more thorough.
Claims (9)
1. a kind of blood vessel punching component, which is characterized in that it includes at least interior cutter shaft (1) and is set in interior cutter shaft (1) outside
The outer edge of a knife (2), interior cutter shaft (1) are flexible along the axis of the outer edge of a knife (2) under the driving of a driving pull rod (4)；
It is connected with interior cutter shaft between the interior cutter shaft (1) and driving pull rod (4) and connect swing arm (3), the interior cutter shaft connection swing arm (3)
It is rotatablely connected respectively with driving pull rod (4) and the outer edge of a knife (2).
2. blood vessel punching component as described in claim 1, which is characterized in that the outer cover of the driving pull rod (4) is equipped with outer
It manages (5), the outer edge of a knife (2) is fixedly connected with the end of outer tube (5), and the outer edge of a knife (2) constitutes elbow structure with outer tube (5).
3. blood vessel punching component as claimed in claim 2, which is characterized in that the end of the interior cutter shaft (1) is chondritic
(101), the interior cutter shaft connection swing arm (3) has and the card slot (301) being engaged by clamping in chondritic (101), the card slot
(102) the u-shaped structure in section.
4. a kind of card punch, which is characterized in that it includes the blood vessel punching component described in right 2 or 3, the blood vessel punching component with
Handle drives component is sequentially connected.
5. card punch as claimed in claim 4, which is characterized in that the handle drives component include fixed handle (6) and
The flexible handle (7) being rotatably connected with fixed handle (6)；
One end of driving pull rod (4) extends in fixed handle (6), and in fixed handle (6) interior telescopic moving；
Driving pull rod (4), which is located between the part in fixed handle (6) and flexible handle (7), is connected with pull rod driving piece (11).
6. card punch as claimed in claim 5, which is characterized in that also set between the fixed handle (6) and flexible handle (7)
There are the first shrapnel (8) and the second shrapnel (9) for so that fixed handle (6) and flexible handle (7) is in maximum opening angle.
7. card punch as claimed in claim 6, which is characterized in that be equipped in the fixed handle (6) and stretched with driving pull rod (4)
The guide groove (601) of the mobile cooperation of contracting, driving pull rod (4) are detachably connected to pull rod driving piece (11) by clamping structure
Together, pull rod driving piece (11) is rotatablely connected with flexible handle (7), is also set between pull rod driving piece (11) and flexible handle (7)
Having makes driving pull rod (4) and pull rod that piece (11) be driven to keep the torque spring (10) being engaged by clamping.
8. card punch as claimed in claim 7, which is characterized in that the clamping structure includes being located on pull rod driving piece (11)
Pull rod position blocking pin (12) and the opening card slot (401) in driving pull rod (4), the pull rod position blocking pin (12) is in torsion bullet
It is engaged by clamping with opening card slot (401) under the action of spring (10) elastic force.
9. the card punch as described in any one of claim 4-8, which is characterized in that the outer tube (5) passes through locking nut
(13) it is connected on fixed handle (6).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810403290.2A CN108514441A (en) | 2018-04-28 | 2018-04-28 | A kind of blood vessel punching component and card punch |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810403290.2A CN108514441A (en) | 2018-04-28 | 2018-04-28 | A kind of blood vessel punching component and card punch |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108514441A true CN108514441A (en) | 2018-09-11 |
Family
ID=63429631
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810403290.2A Pending CN108514441A (en) | 2018-04-28 | 2018-04-28 | A kind of blood vessel punching component and card punch |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108514441A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109758196A (en) * | 2019-02-28 | 2019-05-17 | 江苏义倍医疗科技股份有限公司 | A kind of celioscope stitching surgical structure |
| CN110338940A (en) * | 2019-08-22 | 2019-10-18 | 中国医学科学院阜外医院 | A kind of Bentall operation manually blood vessel punch |
| CN110537944A (en) * | 2019-09-11 | 2019-12-06 | 梁林 | Aorta wall perforating device |
| CN110916767A (en) * | 2019-11-29 | 2020-03-27 | 南华大学附属第一医院 | Gastrointestinal tract perforator |
| CN112842476A (en) * | 2020-12-31 | 2021-05-28 | 河南科技大学第一附属医院 | Aorta blood vessel puncher capable of stably punching |
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| US20090138033A1 (en) * | 2007-02-12 | 2009-05-28 | Blake Iii Joseph W | Aortic punch |
| US20140364855A1 (en) * | 2013-06-07 | 2014-12-11 | Lanx, Inc. | Angled instrument assembly |
| WO2016041465A1 (en) * | 2014-09-15 | 2016-03-24 | 上海林超医疗设备科技有限公司 | Minimally invasive surgical instrument |
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| DE202016107261U1 (en) * | 2015-12-28 | 2017-02-03 | Oplnstruments GmbH | Non-invasive and freely bendable vascular occlusion forceps |
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| CN208709999U (en) * | 2018-04-28 | 2019-04-09 | 美茵（北京）医疗器械研发有限公司 | A kind of blood vessel punching component and punch |
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2018
- 2018-04-28 CN CN201810403290.2A patent/CN108514441A/en active Pending
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0517252A1 (en) * | 1991-06-06 | 1992-12-09 | Blake, Joseph Walter III | Disposable vascular punch |
| US5910153A (en) * | 1996-12-04 | 1999-06-08 | Aesculap Ag & Co. Kg | Surgical punch |
| US20070225720A1 (en) * | 2006-03-23 | 2007-09-27 | Wolford Todd A | Angled surgical driver |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109758196A (en) * | 2019-02-28 | 2019-05-17 | 江苏义倍医疗科技股份有限公司 | A kind of celioscope stitching surgical structure |
| CN110338940A (en) * | 2019-08-22 | 2019-10-18 | 中国医学科学院阜外医院 | A kind of Bentall operation manually blood vessel punch |
| CN110338940B (en) * | 2019-08-22 | 2021-06-15 | 中国医学科学院阜外医院 | Bental is artificial blood vessel hole puncher for operation |
| CN110537944A (en) * | 2019-09-11 | 2019-12-06 | 梁林 | Aorta wall perforating device |
| CN110916767A (en) * | 2019-11-29 | 2020-03-27 | 南华大学附属第一医院 | Gastrointestinal tract perforator |
| CN110916767B (en) * | 2019-11-29 | 2020-08-28 | 南华大学附属第一医院 | Gastrointestinal tract perforator |
| CN112842476A (en) * | 2020-12-31 | 2021-05-28 | 河南科技大学第一附属医院 | Aorta blood vessel puncher capable of stably punching |
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